Individual
GRACE CATHERINE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
750 WASHINGTON ST, #783, BOSTON, MA 02111-1526
(617) 636-6428
Mailing address
800 WASHINGTON ST, BOX 783, BOSTON, MA 02111-1552
(617) 636-6428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2359
MA
Other
Enumeration date
04/12/2007
Last updated
05/11/2016
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